College of Charleston Legal Name Change/Correction Request Form | RO/OLA | version 2-21-19 prior form versions will not be accepted
STUDENT LEGAL NAME CHANGE/CORRECTION REQUEST
CURRENTLY ENROLLED STUDENTS
A currently enrolled student may change the name on his or her permanent academic record by presenting a signed
Legal Name Change/Correction Request form along with the following appropriate original documentation to the
Office of the Registrar. All forms used for Personal Information Updates must be completed in blue or black ink and
may not contain any scribbled or marked out data.
• To correct the spelling, punctuation, capitalization, middle initial, full middle name or the proper sequence of
the name requires:
o *valid state or U.S. government issued photo identification AND
o the original or *notarized copy of the student’s birth certificate OR
o the original or *notarized copy of social security card OR
o the original or a *notarized copy of valid passport and/or visa.
• To change the name requires:
o *valid state or U.S. government issued photo identification AND
o the original or a certified true copy of the signed court order showing current and new name with
raised or ink seal showing the new legal name.
• To assume the spouse’s name following marriage requires:
o *valid state or U.S. government issued photo identification AND
o the original or a *notarized copy of the marriage certificate AND
o the original or a *notarized copy of the updated social security card.
• To discontinue use of the married name and resume use of the original family name, or another name
requires:
o *valid state or U.S. government issued photo identification AND
o the original or a *notarized copy of the divorce decree or a certified true copy of the signed court
order with raised or ink seal showing restoration of the original or other name.
*NOTE: All copies must be notarized by a commissioned notary and accompanied by the affidavit included with the
Legal Name Change/Correction Request form. Color copies of documentation are preferred. While notarized copies
are accepted for specific situations listed above, the College of Charleston reserves the right to demand production of
a certified original or color copies at the sole discretion of the University Registrar (or University Registrar’s designee).
A
ll requests may be subject to review by the Office of Legal Affairs (OLA).
FORMER STUDENTS
The College of Charleston maintains student records under the name the student had when last enrolled. A former
student/alumni may not change the name on his or her permanent academic record except by presenting valid state
or U.S. government issued photo identification, a signed Legal Name Change/Correction Request form, and a certified
true copy of the signed court order with raised or ink seal showing the authorized name change.
NOTICE: Identification theft is taken seriously by the College of Charleston and will be prosecuted to the fullest
extent available under law. Completed forms and documentation must be submitted in person by the individual
requesting the change or via postal mail, no exceptions. The College of Charleston reserves the right to request
further evidence to authenticate identity for all legal name change or correction requests.
College of Charleston Legal Name Change/Correction Request Form | RO/OLA | version 2-21-19 prior form versions will not be accepted
STUDENT LEGAL NAME CHANGE/CORRECTION REQUEST
Student Status
I am a currently enrolled student. I am a former student.
A
s of ___________________________ [date MM/DD/YYYY], I hereby request that my legal name be changed on my official
College of Charleston records as follows:
Le
gal Name Currently on File with the Office of the Registrar (please print clearly)
Last
First
Middle Name or Initial
N
ew or Corrected Legal Name to be Filed with the Office of the Registrar (please print clearly)
Last
First
Middle Name or Initial
CofC
ID (CWID) -- OR – Social Security Number (Last 4 Digits)
Reason for Request (correction, marriage, divorce, court order, specified other; this field may not be left blank)
Stude
nt Contact Information
Email Address (current students must use their college-issued email)
Daytime Phone Number
B
y my signature below, I hereby attest and certify that all the information and documentation provided by me for this Legal Name
Change/Correction Request is correct and complete. I understand the College of Charleston reserves the right to request further
evidence to authenticate my identity or require production of a certified original of a document at the sole discretion of the University
Registrar
(or University Registrar’s designee).
____________________________________________________________________________________________________________
Signature Date (MM/DD/YYYY)
RO OFFICE USE ONLY
Documentation Provided (check all that apply)
☐Valid photo ID
☐SSN Card
☐SSN Card and Marriage Certificate
☐Court Order
☐Divorce Decree
☐Passport/Visa Expiration: /
☐Birth Certificate
☐Notary commission validated
Approved by: (RO Official Initials)
Processed by: (RO Staff Initials) Date: ___/___/___
College of Charleston Legal Name Change/Correction Request Form | RO/OLA | version 2-21-19 prior form versions will not be accepted
AFFIDAVIT
State of ____________
County of __________
On this _____ day of ___________________, 20____, I, _____________________ (Document Holder), holder of
_____________________________________ (Name of Documents), consisting of ______ pages, do hereby swear/affirm,
and attest that it is a true, exact, complete and unaltered photocopy of the original. To the best of my knowledge and belief,
the photocopied document is not a public record, of which certified copies are available from an official source.
_________________________________
Signature of Affiant
Sworn to (or affirmed) and subscribed before me this the _____ day of _______________, 20_____.
________________________________
Official Signature of Notary
(Official Seal)
____________________, Notary Public
Notary’s printed or typed name
______________ County,
_______________ (State)
My commission expires: _______________
*The county listed at the top of the affidavit is the county where the notarization is taking place. The county near the notary’s signature is the notary’s
county of residence.
